Provider Demographics
NPI:1063644011
Name:NANGCAS, BENHUR T
Entity Type:Individual
Prefix:MR
First Name:BENHUR
Middle Name:T
Last Name:NANGCAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10811 BISSONNET ST
Mailing Address - Street 2:D001
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-2151
Mailing Address - Country:US
Mailing Address - Phone:713-291-7172
Mailing Address - Fax:713-784-2053
Practice Address - Street 1:10811 BISSONNET ST
Practice Address - Street 2:D001
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-2151
Practice Address - Country:US
Practice Address - Phone:713-291-7172
Practice Address - Fax:713-784-2053
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-10
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000116171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor